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TyennePoint32Health

Juvenile Idiopathic Arthritis

Preferred products

  • Actemra

Initial criteria

  • Documented diagnosis of polyarticular or systemic juvenile idiopathic arthritis
  • Patient age ≥ 2 years
  • Prescribed by or in consultation with a rheumatologist
  • Documentation of one of the following: trial and failure of at least two medications from each of the following therapeutic categories (only one medication required if only one is available for that category): Janus Kinase Inhibitors (Rinvoq, Xeljanz); Selective T Cell Stimulators (Orencia); Tumor Necrosis Factors (Cimzia, Enbrel, Humira) OR contraindication to all Rinvoq, Xeljanz, Orencia, Cimzia, Enbrel, and Humira
  • Documented previous failure of or clinical inappropriateness of treatment with Actemra